Implementing Agency:
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Two Days Training of the BDS Providers



Registration Form
Name
Date of Birth
Qualifications:
Company Name & Address
Tel:
Fax:
Mobile:
Email:
Website:
Nature of Present JOB / BUSINESS:
   
   
Details of Payment:  
DD/Cheque at Par No:
Dated:
Drawn On:
Bank:
Branch:
(A Cheque of Rs 750 Favouring "Cluster Pulse" Payable at Alappuzha, should be sent to us at below address)

Cluster Pulse
'Thankam', House No. KRA 10,
Nr. Thathampally Church, Sahrudaya Hospital Road,
Thathampally, Alappuzha - 13, Kerala - INDIA

Mobile: 99471 33779, 09825613772
Emai: info@alappuzhabds.com
Joint Initiative of: Implementing Agency:
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